摘要
本文通过病理诊断为子宫腺肌病的84例病历,结合术前B超声象图像回顾归纳,发现子宫腺肌病误漏诊为子宫肌瘤达28.57%,子宫良性肥大(子宫慢性间质炎)达5.95%从,临床、病理、B超声象图三方面分析了误漏诊原因所在,提出了B超可以从子宫形态方面、子宫宫腔线、子宫内部回声、结节周界包膜,月经期变化五方面对子宫肌壁良性占位病变进行鉴别。
The pathologically proved 84 patients' ultrasonograms of adenomyosis were retrospsctively analysed. It was showed that 25. 57 % misdiagnosed of hysteromyoma and 5. 95 % misdiagnosed of benign swollen of uterine. Discussed the reason of errors and misdiagnosed including clinical pathological and sonographical feature. Point out that five factors for differetial diagnosis of benign mass in uterine wall as follow: (1)the shape of the feature,(2) the line of the uterine cavity, (3) the internal echo intensity of the uterine,(4) the nodule margin and wall, (5)the changes of menstrual cycle.
出处
《实用医技杂志》
2003年第10期1088-1089,共2页
Journal of Practical Medical Techniques